Wiki Atypical Fibroxanthoma

[drampas3418]

help!!!!! my dr did a mohs procedure on a medicare pt with a diagnosis of atypical fibroxanthoma....i did a bit of research and it shows basically benign but can be malignant. so the dx i think has to be 238.2 undetermined but this is a mohs procedure and my dr insists it is malignant...any help in coding this correctly? 238.2? 171.0?any other ideas.....i really want to be paid on this obviously...

 

[jholt12]

Hi,
Can you tell me what the path report says in the description?

 

[Texascoder64]

Be sure to check your Local Coverage Determination with your Medicare payer for the MOHS cpt to see what diagnoses are covered.